| Centennial Mental Health Center | |
|
118 W 3rd St Julesburg CO 80737-1542 | |
| (970) 522-4549 | |
| (970) 522-6898 |
| Full Name | Centennial Mental Health Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 118 W 3rd St, Julesburg, Colorado |
| Authorized Official Name and Position | Elizabeth Hickman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9705224549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centennial Mental Health Center 211 W Main St Sterling CO 80751-3168 Ph: (970) 522-4549 | Centennial Mental Health Center 118 W 3rd St Julesburg CO 80737-1542 Ph: (970) 522-4549 |
| NPI Number | 1619117512 |
|---|---|
| Provider Enumeration Date | 03/05/2009 |
| Last Update Date | 07/15/2021 |
| Certification Date | 07/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619117512 | NPI | - | NPPES |
| 04110094 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 150153 (Colorado) | Primary |
Centennial Mental Health Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 W 3rd St, Julesburg, CO 80737 Phone: 970-474-3769 | |
Centennial Mental Health Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 W 3rd St, Julesburg, CO 80737 Phone: 970-522-4549 |